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Images in Neurology
July 2016

Spontaneous Cerebrospinal Fluid Leak With Venous Engorgement Mimicking a Contrast-Enhancing Cervical Mass

Author Affiliations
  • 1Munich Cluster for Systems Neurology (SyNergy), Munich, Germany
  • 2Department of Neurology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany
  • 3Department of Neuroradiology, Klinikum Rechts der Isar, Technical University of Munich, Munich, Germany
JAMA Neurol. 2016;73(7):886-887. doi:10.1001/jamaneurol.2016.0277

A woman in her early 40s presented to the emergency department with a 2-month history of fluctuating neck pain. Neurologic examination findings were unremarkable. Cerebral magnetic resonance imaging (MRI) and cerebrospinal fluid (CSF) examination results were normal. Spinal MRI revealed a contrast-enhancing cervical epidural mass (Figure, C). An inflammatory or neoplastic process was suspected and a biopsy was considered.

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